Currency:
PLN

Right to Withdraw from Contract

Published On:

MODEL WITHDRAWAL FORM

(this form is to be completed and returned only if you wish to withdraw from the contract)

Address [insert trader's name, full postal address and, e-mail address here]

I/We(*) hereby give notice(*) of my/our withdrawal from the contract of sale of the following goods(*) the contract of delivery of the following goods(*) the contract of workmanship of the following goods(*)/the following service(*)

Date of conclusion of the contract(*)/of receipt(*)

First and last name of consumer('s)

Address of consumer('s)

Signature of consumer('s) (only if this form is sent on paper)

Date

(*) Cross out where not applicable.